Provider Demographics
NPI:1700427291
Name:REIGN SERVICES LLC
Entity Type:Organization
Organization Name:REIGN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-675-8551
Mailing Address - Street 1:8230 LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-4622
Mailing Address - Country:US
Mailing Address - Phone:651-675-8551
Mailing Address - Fax:763-600-6102
Practice Address - Street 1:8230 LONG LAKE RD
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-4622
Practice Address - Country:US
Practice Address - Phone:651-675-8551
Practice Address - Fax:763-600-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health